Search › Florida › 374J00000X
Tierra Russell, CPPD
NPI 1396478061 · on the registry since 2022 · sole proprietor
Practice
- Address
- 812 W Tiffany Dr Apt 3
Mangonia Park, FL 33407 - Phone
- (561) 335-0028
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida